1437895570 NPI number — THILINI NUWANGA DELUNGAHAWATTA BMBS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437895570 NPI number — THILINI NUWANGA DELUNGAHAWATTA BMBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DELUNGAHAWATTA
Provider First Name:
THILINI
Provider Middle Name:
NUWANGA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BMBS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437895570
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 SEGWUN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERDOWN
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
L8B0K2
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
280 MAIN ST W
Provider Second Line Business Practice Location Address:
DEPARTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
HAMILTON
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
L8S 4L8
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
905-521-2100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/11/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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